QHR’s experienced pharmacist-consultant sorts your drug purchases by:

• Therapeutic class
• Descending net dollars
• Generic classification
• Contract vs. non contract

Analyzing your data alongside relevant clinical studies, QHR’s consultants employ specialized knowledge to develop customized recommendations and a detailed action plan that helps you:

• Focus on the therapeutic categories that offer the best opportunities to control costs and improve outcomes
• Lower costs by using therapeutic interchanges: effective alternatives to costly practices
• Reduce expenses by choosing generic equivalents when possible
• Eliminate overuse of problematic drugs to avoid resistance and poor outcomes
• Improve formulary control with a more proactive Pharmacy and Therapeutics Committee

A common goal.

QHR can help you unify your team around the goal of raising outcomes while lowering expenses.

QHR’s expert pharmacy consultant:

• Compares your prices with your competitors and identifies variances
• Consults with your pharmacy director to update your pricing structure
• Helps you establish rational pricing methodologies, resulting in market-comparable margins

More than a one time fix.

You’ll know what you’re charging and why. And with QHR’s Pharmacy Pricing Model, it’s easy to keep your pricing appropriate over time. We help you create a consistent formula you can use whenever your costs change.

QHR specialists focus on three facets of pharmacy operations.

Be the pharmacy staff and patients can rely on.

QHR nurtures accountability. So you can trust on your pharmacy to be both efficient and safe. Because your community is relying on you.

QHR’s ServiceExcellenceTM System gives you the structure, knowledge and tools you need to get everyone involved in the implementation of best practices for HCAHPS improvement.

Our experts lead service action planning meetings, assist you in setting up and analyzing service measurement data, provide ongoing coaching to your leaders, and conduct service excellence training for managers and supervisors. We also certify members of your leadership team to deliver service excellence training to your staff. That’s when service excellence begins to become a part of your culture.

Service action planning meetings. Learn how to lead staff in developing service commitments, standards, recovery plans and recognition programs.

Service coach training. Reinforce excellent service behaviors through formal and informal feedback and recognition.

Service skill training for staff and Train-the-Trainer certification for hospital leaders. Learn to use skill reinforcement tools to sustain training beyond the classroom event. Receive license to deliver QHR ServiceExcellenceTM training in your hospital.

Earn staff and customer loyalty.

QHR can help you lead your team in embracing a culture of outstanding service. They’ll take pride in being the provider of choice for your region.

Components of the QHR Home Care Joint Commission Accreditation Readiness Survey include:

• Compliance review
• Policies and procedures
• Record documentation
• Provision of care

• Leadership interviews
• Staff interviews
• Competency
• Home visits
• Educational needs

• Oversight of activities
• Monitoring
• Trending
• Presentation

• Pain management
• National patient safety goals
• Medication management
• Infection prevention and control
• Incident reporting
• Equipment management
• Communication

• Leadership
• Mission and culture
• Rights and responsibilities
• Personnel requirements

• Surveyor planning guide notebook
• Sample policies
• Trending tools

Maintain excellence.

QHR consultants help you achieve the high level of excellence you desire for your patients—and require for Joint Commission certification.

We provide direction to management and visiting staff to help clinical compliance by:

• Performing audits of patient medical records
• Assessing patient care staffing
• Verifying OASIS and coding accuracy
• Evaluating patient care delivery
• Forecasting potential performance indicators
• Conducting on-site patient care visits
• Assessing care coordination efforts
• Evaluating automated systems and processes
• Providing support on quantifiable outcomes
• Providing OASIS and coding education
• Developing a guideline for a streamlined approach to improving agency performance
• Furnishing proven audit tools to assist with compliance efforts
• Pre-billing audit tool
• Plan of care audit tool
• ADR log/checklist

Quality at home.

QHR can help you raise your home care performance, through tightened compliance, quality, outcomes and coding.

QHR’s experts:

• Observe daily operations as they pertain to efficiency of surgeons, anesthesia and staff
• Evaluate existing processes for anesthesia scheduling and clinical practices
• Review departmental charts for documentation, coding and charge accuracy
• Evaluate all phases of surgical throughput, including patient access/registration, pre-admission testing, case scheduling and room utilization
• Utilize surgical data to evaluate existing case scheduling methods, room and surgeon utilization, staffing and hours of operation
• Track patients through a day of surgery to determine on-time delivery and efficiency
• Evaluate the materials and supplies procurement process and perform a sterile process review
• Evaluate physician and staff satisfaction as it pertains to personal interaction, department operations, scheduling practices, anesthesia and leadership

Your QHR OR Throughput Assessment is designed to support:

• Improved surgical documentation and charge capture to increase reimbursement
• Improved patient access through improvements to preadmission testing processes
• Improved surgeon productivity through a redesign of the surgical scheduling process
• Improved surgical efficiencies through the revaluation of anesthesia contracts
• Improved patient satisfaction through the creation of a common vision statement committing to on-time delivery of services
• A commitment to the ongoing efficiency and effectiveness of OR operations

We focus on four operational and financial processes: revenue enhancement, patient triage, resource utilization and performance monitoring.

Our Clinical Operations experts address key ED practice management issues, including:

• Patient flow and safety
• Customer satisfaction
• Nurse staffing ratios
• Physician and nurse documentation
• Effective ED triage
• Bed capacity and utilization
• EMTALA
• Joint Commission preparedness

Outcomes can include:

• Improved documentation and charge capture to drive reimbursement
• Improved patient access to care (i.e. patient satisfaction) through improved triage processes
• A common vision founded on “best practice” service delivery and a commitment to sustaining improvements

Better access. Better reimbursement.

QHR can help your ED set a higher standard and support your organization’s mission of providing efficient service.

The right staff, at the right time.

QHR can help you staff right. You’ll not only reduce labor costs, but also support quality improvement. Here’s how:

QHR’s clinical experts evaluate your current staffing and scheduling processes. We help you develop unit-specific staffing matrices based on your budget and productivity standards. When you deploy your personnel effectively, work flows more smoothly for patients and nurses.

Our seasoned, skilled Clinical Operations experts:

• Assess each units’ purpose and patient populations
• Evaluate each units’ productivity standard
• Confirm each units’ budget
• Review all state minimum staffing regulations
• Align all factors effecting the budget and assure that all staffing is tied to the staffing budget
• Develop staffing grids for each unit, using the staffing guidelines based on type of patients, unit size and productivity; standards; job description; and shift
• Assist the hospital in building both a core staff and a pool of PRN staff

For your hospital, this can mean:

• Improved employee satisfaction
• Reductions in turnover
• Reductions in “premium pay” (overtime, callback, etc.) spending
• Improved patient satisfaction
• Improved quality outcomes

Lower costs, raise satisfaction.

QHR experts can help you get the best value for your labor budget.

QHR’s case management specialists conduct an in-depth data analysis and an intensive review of current operations. We then provide a detailed report with action steps for improvement and offer education/implementation support, as needed. Your Case Management Assessment includes:

• Leadership, structure and staffing
• ER case management
• Patient throughput
• Observation bed management
• Bed access management
• Length of stay monitoring/reduction techniques
• Staffing with appropriate RN/social worker skill mix
• Guidelines/protocols integrated into patient care
• Clinical documentation
• Case management systems support capability
• Operations supporting accurate levels of care and acuity determination with appropriate reimbursement
• Data management
• Managed care clinical updates
• Regulatory compliance
• Physician advisor coaching/development

Top-quality care, cost-effectively delivered.

QHR can help you achieve new levels of excellence, to build your hospital’s reputation and foster pride institution-wide… while you bridge the gap between quality and cost.

We review:

• Management plans
• Policies and procedures
• Implementation documents
• Performance improvement activities
• Committee structure and activities

Touring your facility, we assess accreditation requirements in the areas of:

• Life safety
• General safety
• Infection control
• Utilities management
• Medication management
• Information management

Take charge and reap the benefits:

• Assist with the E-SOC and related components
• Develop your own Statement of Conditions; we provide the education and tools
• Find out how to complete the online processes, develop a plan for improvement and create record drawings that you can maintain
• Prepare for pre-construction reviews, with help from project managers who have actually implemented interim life safety and infection control measures
• Have an urgent question? Get answers through a dedicated, experienced and knowledgeable consultant who is “on demand” for you

Take control. Be ready for survey.

With expert analysis, advice, education and tools, QHR helps you keep your facility safe, healthy, and in compliance—without costly outsourcing.

We’ll help you establish standards of care and appropriate skill mix for better efficiency and effectiveness. And with the results of our expert’s interviews, observations and evaluations, you’ll get the insights you need to go beyond problem solving to create a professional environment where nurses want to work.
QHR’s seasoned Clinical Operations experts:

• Analyze your operational statistics and other data;
• Conduct departmental interviews; and
• Observe the work environment first hand.

In the end, we deliver a detailed, written report of findings and recommendations; a staffing grid with a budget report; a unit-based strategic plan; and a management action plan. All are designed to support:

• Staff and physician satisfaction
• Increased accountability among nursing leadership
• Adherence to nursing budgets
• Improved bed utilization
• Improved patient satisfaction
• Improved outcomes

A great nursing team makes a great hospital.

QHR can help you improve the satisfaction of both your patients and staff, with a workflow that works for everyone.

QHR prepares you for the Joint Commission’s Shared Visions - New Pathways®, which requires organizations to demonstrate continuous survey readiness and know how their facility measures up at any given moment.

Our Clinical Operations experts help you design and implement a continuous survey readiness program that is comprehensive, collaborative, educational and consultative, and helps ensure that your facility remains compliant with Joint Commission Standards.

Through the QHR Learning Institute, we offer both classroom and Web-based Joint Commission education programs to teach your team how to maintain survey readiness. Our consultants also work in collaboration with your staff through periodic on-site and off-site consultation (teleconferences, electronic communication, document review, document preparation, etc.) and other activities, as needed.

Specifically, we provide:

• Assistance in developing a cross-functional Joint Commission preparation team with members from administrative and clinical departments
• Review of the accreditation process with your organization’s Joint Commission team leader
• Support in interpretation of Joint Commission Standards
• Review of existing documents for Standards compliance
• Guidance in the development of documents, such as policies, procedures, program descriptions and program evaluations
• Assistance in implementing recommendations for improvement
• Review of performance measurement indicators
• Periodic on-site mock surveys
• One-on-one or small group education, training and consultation on all things Joint Commission

The Joint Commission can and will survey your HR department without notice. We’ll help you be ready…instead of worried.

Everything compliance.

QHR has the seasoned experts and time-tested resources you need to resolve deficiencies quickly and support survey readiness efforts on an ongoing basis. Our Clinical Operations consultants teach your team problem-solving skills, how to plan for unannounced surveys and validate your survey readiness.
We deliver as much or as little support as you need.

QHR offerings include:

• Comprehensive Joint Commission services
• Survey preparation for CMS, HFAP/AOA, including mock survey and internal readiness facilitation
• Focused reviews of specific areas requiring additional resources and education to help gain regulatory compliance
• Intensive, fast track support to overcome accreditation/certification denial
• Credentialing/privileging assessments
• Environment of care, emergency management and life safety assessments
• Bylaws review: governing board and medical staff
• A comprehensive document library of templates and samples
• Customized educational programs offered on-site, online or at the QHR Conference Center
• Subscription services, including quarterly newsletters, a tip-of-the-week email and on-demand, one-on-one consultations with a dedicated consultant

Be ready.

QHR can help your team demonstrate organizational readiness and approach surveys with confidence – whenever they occur.